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HomeMy WebLinkAboutBLD2004-00315 0 BUILDING PERMIT APPLIC ON SEP83-00084 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD04-00315 Received Date: 5/12/2004 SITE ADDRESS: 2340 E MARROWSTONE RD NORDLAND, 98358 OWNER: ELLEN LERICH PHONE: (360)379-3042 2340 E MARROWSTONE RD NORDLAND WA 98358-9522 SUBDIVISION: R NORDBY SHORT PLAT Block: Lot: 4 PARCEL NUMBER: 976200706 Section: 33 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INTERIOR REMODEL - NO MLA REQ TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT VALUATION 20,000.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 3 Wetland Erosion Prop: Prop: 1 Seismic Streams Total: 3 Total: 4 Flood Way —Floodplain Routing Date:4// F&W Landslide /3/� Shoreline Aquifer Forest: Comme rcial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $321.25 KAS 05/12/04 64423 APPROVED Plan Check $208.81 KAS 05/12/04 64423 State Building Code $4.50 KAS 05/12/04 64423 JUN - 2004 Total: $534.56 Jefferson County Planning & Building Departm nt Q„sOly 00 "it 0 m L A 'tl11Ou t Of t w a: 'ry , 621 Shertlan Po1't WA g 136111371,4450 ti -N.tit �C p( rmo1)D° -: ......... 4PP; 0Cic[h12 2004 2 Building Type: Project Type: :.�P'l. OF G vi_0%E,L_ , ifel Single Family ❑ New °i W000d od ❑ Addi ❑ Garage Attached/Detached Wood ❑ Steel ❑ Modular ' Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 7 Existing: ❑ Sewer ❑ CommunitySystem 'fgrProposed: YElectricity ❑ Oil P �,j/ Proposed: Individual System Total: / Total: Y jUoodstove ❑ Propane If i�,t srew_er,fill out the following: ❑ Heat Pump conce tional Alternative ❑ Other Permit# SEP g3-- J--__ Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: I Square Footage: Office Use For Office Use Only Main Floor Consistency Review 0 No In L Ar 2ND Floor Base fee 3, .1 , 35 3rd Floor Plan Check fee p 08 _ S Htd Basement State Surcharge fee -1, 55 Unhtd Basement Subtotal 531 '5 6 Garage/Carport Pot Water Review fee —Pro 0 sv-o'r,B 1 Of:A +WC' Decks 911/Rd Approach fee ay{ Commercial TOTAL 5 3 1 I . Cit. Industrial Receipt# (el- `'i 3 Other Cash/Check# CD. a Initials C' Date d Estimated Cos20 Q©U If within 200' o Distance to Bank or Ordinary High Water Mark G U ft.Bank Height L 0 $. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application renew and any required later inspections. Access and right of entry to the applifant's property structure shall be requested and shall occur during regular business hours. LSignature: Date: / 2._A SL. OVER ► G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004 BUILDING PERMIT 110 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00315 Received Date 05/12/2004 SITE ADDRESS: 2340 E MARROWSTONE RD Issue Date 06/1/2004 NORDLAND, 98358 APPLICANT: ELLEN LERICH PHONE: (360)379-3042 2340 E MARROWSTONE RD NORDLAND WA 98358-9522 SUBDIVISION: R NORDBY SHORT PLAT Block: Lot: 4 PARCEL NUMBER: 976200706 Section: 33 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: INTERIOR REMODEL -NO MLA REQ REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [i Footing: t3/A [4 Foundation: PJ .A [ ] Stormwater FINAL Approval: Underground Plumbing: N/A [ Underground Insulation: 1J A Ix Shear Wall : NIA 'Kt Framing: ®k /eosorr !O/l5/4V 914, 0, Plumbing: Ole— ►, (S/o1 ®' [ ] Propane T k/ Lines: Insulation: Sheetrock: //R-9 ' O `7 _ i,,c/ Septic Sytem Final Approval. 1 Road Approach Final Approval: [ ] Zoning Final Approval: Final/Occupancy Approval: D —f r 4 //OA//O5, HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Buildng.rpt 10/29/19 Crok-�uTy 0------ — (�z) WELL 210, 14' 5921 a ± I II a � F ll1 Z - 3 p to M -Z W W 16 1,031 — t I -Arm& oF-At7C01-Tlc-H- - - - �auK��car�o>✓ I. - ExiSTINv vtui�L n21.i�. l I II I E>UsT, GurLTAIN t07�-IIJ I I I I 2b329 t I I I I nn11 � i i I 0 5 410� r drcC� �okrt3/aG�= __£_- _ i ExISTIHc� .— L4wFI HousE 1 SfiIZU�7 --. _ Y V - - --- - - �tl 4� `�O 1 T E F L /a 1-1 I°= 30, 2 3 4o EasT- Hl�V-0.•ISTcvHE tZo/6.[7 , tore- gLa.Ht-7 Wn 9a 3 5 8 1�6IZl.�L # : 9 1(fA20010Ln I,sA.t LvT -4 fZ. Hot_ 7k?.-( SNofZT pLAr ; coW Ii� SEGTIoI-! 33 T 30�1 17I prLoJeG-I- EHL/hrt.G-iF ISFof�voM Hew - 9�AITH 1� LAUNSatt-fV P/�.Not T*.r eHoop L _Hr=-W FL001Z. LI.1I1-46l200,6,,M5 JEFFERSON COUNTY DCD BUILDING PLAN REVIEW ❑ APPROVED AS SUBMITTED APPROVED AS NOTED ❑ R JECTED Date Su Reviewer Contact the Building Department at 379-4450 prior to making changes or revisions to the approved 111— Top of O?6,HK m J t� e 176TUI2MINEtJ &'r 02,LUFK HerjHT, Z MAY 1 2 2004 ;,_P1.OFc EaE_O�tiC:i W HZ 1A;LZ a:l' �j: o�N jZ �SZwZ �QS 7QW�c %FQ wpowMLL Y Vj �maa��i-c�� < L ag-•_�- 4��, NU[tCFJ �is'z 3a �LL � L FZME LL C�0zo� WW �5;M W� z¢z�Q�=�i SUS N FW aQW� FnkMmzZ o <Ww, -o0 �w Zu 'NSUW Z� ZZ F- tlft �1 Gz �5W r'L ❑c� �Cz:--F w 22 C8 n�Z T¢w F-1n LSL <<COO¢ LU 013 ;E w �+ � 0 ae m a ui s Yo w Ya N • : 12" - -IiIM Lerich a bathroom acaitior and remodel �q As SnoNn .�'�`6" April, 2004 m I" ,&`bTEIZ O)ATH I_ dl = z ISO v T.amr I- 42' x 42"- ' GLASS _5A�2WK�2 1 I phlu --C� W' 1 paTu-1 � rz�r��2 wain x X' I I I r- V r I - a N xl i s T_� r4o-wl-t New-z-3i�lc1 A4- p{ZICfiL PD l u MAY 12 2004 i W¢�j Wtl.`YO W6�0 o s uullma<:h 2¢ z u Z w 4 S � j Vm c r ¢ o�oT=a Y'mm� zn0z 'nYma0ZZ-m t a --!N =o=�w¢0`la a.J �er za¢ �w=az<.<�, av!=OC2 O D u¢�ONLI 1�auww WLL ' zO*boyy---a �J rzzozm a�� 213 ZnYN 67 I2n z° FnFn O ¢' C7wW yN:sL���'.I 2._ 571 CF�,j CF S¢OOZUt} GuryZLLOccza��� ��SL.Laa na� ui w � u LLj Y z � ON 3 Yo m cm Y a� w Larich bathroom addition and remodel As Sh, April, P.OU4